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1306321450
JAKE OSBORN
SANTA FE, NM
NPI
1306321450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NM SLP6803)
Enumeration Date
2018-09-25
Last Update Date
2021-08-12
Business Address
JAKE OSBORN MS, CCC-SLP
16 DESCANSO RD
SANTA FE, NM 87508-9125
Phone number: 765-720-8293
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Mailing Address
JAKE OSBORN MS, CCC-SLP
16 DESCANSO RD
SANTA FE, NM 87508-9125
Phone number: 765-720-8293
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